Application for an Extension of Time to Begin And/Or

TEXAS COMMISSION ON ENVIRONMENTAL QUALITY

P.O. Box 13087, MC-160, Austin, Texas 78711-3087

Telephone No. (512) 239-4691 FAX (512) 239-4770

APPLICATION FOR AN EXTENSION OF TIME TO BEGIN AND/OR

COMPLETE CONSTRUCTION OF AN AUTHORIZED PROJECT

§11.145, TEXAS WATER CODE

TO BE SUBMITTED PRIOR TO EXPIRATION DATE

Notice: This form will not be processed until all delinquent fees and/or penalties owed to the TCEQ or the Office of the Attorney General on behalf of the TCEQ are paid in accordance with the Delinquent Fee and Penalty Protocol.

1.Applicant Information

Form TCEQ-10203 (revised 04/2010) Page 1

Permittee/Owner Name:

Mailing Address:

Telephone No(s) Home: Office:

Social Security or Federal I.D. No.:

Email Address: ______Fax:______

2.Applicant owes fees or penalties?

If yes, provide the amount and the nature of the fee or penalty as well as any identifying number:

3.Project Data

Certificate of Adjudication No.: Permit No.:

Water Right Issue Date: Stream:

River Basin: County:

4.Dates

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BEGINNING CONSTRUCTION DATE:COMPLETION DATE:

Original (Date in water right): Original:

Current (From last extension granted, if applicable): Current:

Proposed: Proposed:

Form TCEQ-10203 (revised 04/2010) Page 1

5.Reason(s) for delay and why the proposed dates requested are necessary.

The applicant must include* why the extension should be granted and why the permit should not be forfeited if the commission finds that sufficient due diligence to begin and/or complete construction of the authorized project has not been demonstrated. Reasonable causes for delay include, but are not limited to, the operation of legal proceedings or other causes which were not within the reasonable control of the permittee and which were reasonably unforeseeable at the time of the appropriation or the last extension. Financial hardship shall not, by itself, constitute sufficient cause for the granting of an extension. Notice of the application, if required, will also indicate that the Commission will consider whether the appropriation shall be forfeited by the applicant, if the extension is denied.

* Please attach or enclose a statement setting forth the reasons why construction work could not be commenced or completed.

6.Application Fees

Please make checks payable to the Texas Commission on Environmental Quality or TCEQ

Note: Mailed and published notice of the application is required if a new beginning date for construction is more than four years past the original issue date of the water right, or a new completion date for construction is more than five years past the original completion date.

A.If the application does not require mailed and published notice, fees are as follows: If the application will not require mailed and published notice, fees required for this application are:

Filing$100.00

Recording ($1.25 per page) 2.50

Total Fees$102.50

B.If the application does require mailed and published notice, fees are as follows:

Filing$100-$2000 (depending of size of project)

Recording ($1.25 per page)$2.50

Extension{Includes storage ($.50 per acre-foot, except for Recreation storage which is $1.00 per acre-foot) and Use($1.00 per acre-foot, except for agricultural, which is$.50 per acre to beirrigated)}

Notice {Different for each basinand the applicant will publish the notice in

a locally circulated newspaper at its expense}

Form TCEQ-10203 (revised 04/2010) Page 1

Form TCEQ-10203 (revised 04/2010) Page 1

7.Signature of Applicant(s)

See TexasAdministrative Code §295.14.

Signature(s)

Name (Sign)Name (Sign)

Name (Printed)Name (Printed)

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Subscribed and sworn to as being true and correct before me on this the day of , 20_.

Notary Public, State of Texas

Form TCEQ-10203 (revised 04/2010) Page 1